Individual provider Active NPI

Aisha Laniece Olivacce, CNM

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1891254397
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001916-1 Issued in NY
Practice address
974 Bergen St Apt B
Brooklyn, NY 11216-2904
Phone
(646) 932-2633
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F001916-1 NY Primary

Addresses

Primary practice location

974 Bergen St Apt B
Brooklyn, NY 11216-2904

Mailing address

974 Bergen St Apt B
Brooklyn, NY 11216-2904
Phone (646) 932-2633

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alj223@nyu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200515000355 NY Practitioner - Certified Nurse Midwife (CNM) 1052742665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001916-1NYMDMidwife
001916NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 1, 2020 Accepting new patients
New York University CurrentSince May 1, 2020 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

159 E 53rd St
Fl 4
New York, NY 10022
Phone (646) 754-1561

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: aolivacce310096@nyumc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1891254397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 BERGEN ST APT B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162904",
            "telephone_number": "646-932-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 BERGEN ST APT B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162904",
            "telephone_number": "646-932-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVACCE",
        "first_name": "AISHA",
        "middle_name": "LANIECE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001916-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alj223@nyu.edu",
            "affiliation": "N",
            "address_1": "974 Bergen St Apt B",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112162904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.